Ohel Leah 70 Robinson Road, Mid-Levels, .

Telephone: (852) 2589-2621

Email Address: [email protected] A/C No.

I/We hereby apply for membership of the Ohel Leah Synagogue. If accepted, I/we agree to abide by and conform to its constitution and by laws existing from time to time. Furthermore, I/we undertake to pay all dues when called to do so in accordance with the regulations in force at the time.

I/We wish to apply for:

COUPLE/FAMILY -- HK6500 per annum (to include children 18 years or younger of any marital status and unmarried children 21 years of age or younger)

SINGLE -- HK$3900 per annum

NON-RESIDENT (A person not resident in Hong Kong) -- HK$1800 per annum

YOUNG PROFESSIONAL (Under 30) -- HK$1500 per annum

Proposer (Signed ) Seconder (Signed )

Family Name

Home Address

Home Tel No.

Applicant Spouse

Given Name

Nationality

Date of Birth (DD/MM/YY) (DD/MM/YY)

Hebrew Name

Father’s Hebrew Name

Maiden Name

Occupation

Firm Name

Business Address

Business Tel No.

Mobile No.

Email Address

Indicate: Cohen Levi

Indicate: I can / cannot read a haftorah

Date of Marriage (if applicable) (DD/MM/YY)

Children

Name Hebrew Name Date of Birth (DD/MM/YY) M/F

Yahrzeit

Name of Departed Relationship Date (DD/MM/YY) Hebrew Name of Departed & Father

Signature of Applicant Date (DD/MM/YY)

* Please complete this application form and return it together with the followings:

1) A copy of the Ketubah, or any other form of proof of Jewish background. (No ritual privileges until all supporting documents are received.) 2) One photograph. 3) Copy of passport. 4) Payment of membership subscription fee.

FOR OFFICE USE ONLY Form Received Date

Documents enclosed:

Payment Photos Ketubah

Approved by:

Rabbi Date

Synagogue Council Date

Ohel Leah Synagogue 70 Robinson Road, Mid-Levels, Hong Kong. Telephone: (852) 2589-2621 Email Address: [email protected]

Additional Information for Membership

In order to process your application it is necessary to ask you some personal questions. Please be assured that this information will be treated in the strictest confidence and will be held by the only. If you would prefer you can send these details under separate cover directly to the Rabbi.

Applicant Spouse

Name

Religion

Details of Conversion (if applicable)

Name of Mother

Religion of Mother

Details of Conversion (if applicable)

Name of Father

Religion of Father

Details of Conversion (if applicable)

If Married:

Name of Rabbi who performed the ceremony

Name of Congregation

Address of Synagogue

Signature of Applicant

Date / / day month year